A comparison of ICD10 and DSM-IV criteria for posttraumatic stress disorder

The assumption that participants receiving mt ICD10 diagnosis of posttrauma tic stress disorder (PTSD) will also receive a DSM-IV diagnosis of PTSD was tested. Data were gathered for 1,364 participants using the Composite Inte rnational Diagnostic Interview (CIDI). The 12-month prevalence of PTSD was 3% for DSM-IV and 7% for ICD10 Diagnostic Criteria for Research (ICD10-DCR) . The agree ment between the two systems was fair (kappa =.50). Forty eight percent of the discrepancies between the systems were accounted for by the additional criterion requiring clinically significant distress or impairme nt included in DSM-IV. The inclusion of symptoms of general numbing of resp onsiveness accounted for 18% of the discrepancies. It is concluded that ICD 10-DCR PTSD cannot be assumed to be identical to DSM-IV PTSD.